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      관절가동술과 깔창적용이 엉치엉덩관절통증환자의 통증과 골반경사각, 족저압에 미치는 효과: 무작위배정예비임상시험

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      다국어 초록 (Multilingual Abstract)

      This study was to compare the effects of joint mobilization, treadmill with insole, and joint mobilization and treadmill with insole on pain, pelvic angle, and foot pressure in patients with sacroiliac joint pain. 24 patients randomly assigned to joint mobilization group(n=8), treadmill with insole group(n=8), or joint mobilization and treadmill with insole group(n=8). Each groups were conducted 30 minutes a day, two days a week for four weeks. Pain was evaluated using visual analogue scale and pelvic angle was measured using palpation meter and foot pressure(fore/rear ratio) was measured using Gateview AFA-50 before intervention and after 4 weeks.
      All groups were significant differences pain in intragroup(p<.01). In pelvic angle, the joint mobilization group was statistically significant in the anterior tilt only, the joint mobilization and treadmill with insole group showed statistically significant improvement in both anterior and posterior tilt(p<.01), and the treadmill with insole group did not show any statistically significant change(p>.05). Also the joint mobilization and treadmill with insole group were significant differences in foot pressure(p<.01). All the interventions reduce sacroiliac joint pain and joint mobilization and treadmill with insole training are most effective changes in pelvic angle and foot pressure. This study can be used as a basic data for prevention of injury, posture correction and gait training in patients with sacroiliac joint pain, as well as chronic low back pain and plantar pressure problem.
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      This study was to compare the effects of joint mobilization, treadmill with insole, and joint mobilization and treadmill with insole on pain, pelvic angle, and foot pressure in patients with sacroiliac joint pain. 24 patients randomly assigned to join...

      This study was to compare the effects of joint mobilization, treadmill with insole, and joint mobilization and treadmill with insole on pain, pelvic angle, and foot pressure in patients with sacroiliac joint pain. 24 patients randomly assigned to joint mobilization group(n=8), treadmill with insole group(n=8), or joint mobilization and treadmill with insole group(n=8). Each groups were conducted 30 minutes a day, two days a week for four weeks. Pain was evaluated using visual analogue scale and pelvic angle was measured using palpation meter and foot pressure(fore/rear ratio) was measured using Gateview AFA-50 before intervention and after 4 weeks.
      All groups were significant differences pain in intragroup(p<.01). In pelvic angle, the joint mobilization group was statistically significant in the anterior tilt only, the joint mobilization and treadmill with insole group showed statistically significant improvement in both anterior and posterior tilt(p<.01), and the treadmill with insole group did not show any statistically significant change(p>.05). Also the joint mobilization and treadmill with insole group were significant differences in foot pressure(p<.01). All the interventions reduce sacroiliac joint pain and joint mobilization and treadmill with insole training are most effective changes in pelvic angle and foot pressure. This study can be used as a basic data for prevention of injury, posture correction and gait training in patients with sacroiliac joint pain, as well as chronic low back pain and plantar pressure problem.

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      참고문헌 (Reference)

      1 유경태, "트레드밀 걷기 운동이 30대 비만 여성의 체력, 혈중지질 및 렙틴에 미치는 영향" 한국엔터테인먼트산업학회 6 (6): 53-63, 2012

      2 이우진, "체간 안정화 운동이 요통환자의 요부안정성과 족저압에 미치는 영향" 대한물리치료학회 26 (26): 21-26, 2014

      3 정영미, "요추전만도 향상을 위한 굽높임 깔창 착용 보행훈련이 추간판돌출 환자의 요추전만도, 통증 및 기능에 미치는 영향" 대전대학교 대학원 2013

      4 박인호, "근육불균형의 천장관절 기능부전에 대한 수기치료가 골반경사각도와 고관절회전각에 미치는 영향" 고려대학교 의용과학대학원 2012

      5 강정일, "골반안정화 운동프로그램이 엉치엉덩관절 통증을 동반한 만성요통환자의 통증과 엉덩관절에 미치는 영향" 한국디지털정책학회 11 (11): 331-338, 2013

      6 김현희, "건강한 여성의 하이힐 계단오르기 보행이 안쪽빗넓은근과 가쪽넓은근의 근활성비와 개시시간에 미치는 영향" 대한물리의학회 6 (6): 135-143, 2011

      7 기철, "강제호흡운동이 만성요통환자의 유연성과 척추관절 안정화에 미치는영향" 120-127, 2013

      8 DePalma, M. J., "What is the source of chronic low back pain and does age play a role?" 12 (12): 224-233, 2011

      9 Snijders, C., "Transfer of lumbosacral load to iliac bones and legs : Part 1 : Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise" 8 (8): 285-294, 1993

      10 Park, J. H., "The study of correlation between foot-pressure distribution and scoliosis" Springer 2009

      1 유경태, "트레드밀 걷기 운동이 30대 비만 여성의 체력, 혈중지질 및 렙틴에 미치는 영향" 한국엔터테인먼트산업학회 6 (6): 53-63, 2012

      2 이우진, "체간 안정화 운동이 요통환자의 요부안정성과 족저압에 미치는 영향" 대한물리치료학회 26 (26): 21-26, 2014

      3 정영미, "요추전만도 향상을 위한 굽높임 깔창 착용 보행훈련이 추간판돌출 환자의 요추전만도, 통증 및 기능에 미치는 영향" 대전대학교 대학원 2013

      4 박인호, "근육불균형의 천장관절 기능부전에 대한 수기치료가 골반경사각도와 고관절회전각에 미치는 영향" 고려대학교 의용과학대학원 2012

      5 강정일, "골반안정화 운동프로그램이 엉치엉덩관절 통증을 동반한 만성요통환자의 통증과 엉덩관절에 미치는 영향" 한국디지털정책학회 11 (11): 331-338, 2013

      6 김현희, "건강한 여성의 하이힐 계단오르기 보행이 안쪽빗넓은근과 가쪽넓은근의 근활성비와 개시시간에 미치는 영향" 대한물리의학회 6 (6): 135-143, 2011

      7 기철, "강제호흡운동이 만성요통환자의 유연성과 척추관절 안정화에 미치는영향" 120-127, 2013

      8 DePalma, M. J., "What is the source of chronic low back pain and does age play a role?" 12 (12): 224-233, 2011

      9 Snijders, C., "Transfer of lumbosacral load to iliac bones and legs : Part 1 : Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise" 8 (8): 285-294, 1993

      10 Park, J. H., "The study of correlation between foot-pressure distribution and scoliosis" Springer 2009

      11 MassoudArab, A., "The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction" 19 (19): 5-10, 2011

      12 Godges, J. J., "The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach" 33 (33): 713-718, 2003

      13 Kim, Y. M., "The effect of shoe lift on lumbar scoliosis associated with pelvic obliquity" 11 (11): 104-112, 2004

      14 Barton, C. J., "The effect of heel lifts on trunk muscle activation during gait : a study of young healthy females" 19 (19): 598-606, 2009

      15 Bird, A. R., "The effect of foot wedging on electromyographic activity in the erector spinae and gluteus medius muscles during walking" 18 (18): 81-91, 2003

      16 Cambron, J. A., "Shoe orthotics for the treatment of chronic low back pain : a randomized controlled pilot study" 34 (34): 254-260, 2011

      17 Rao, S., "Shoe inserts alter plantar loading and function in patients with midfoot arthritis" 39 (39): 522-531, 2009

      18 Wagner, D. R., "Reliability and utility of a visual analog scale for the assessment of acute mountain sickness" 8 (8): 27-31, 2007

      19 공원태, "PNF의 수축-이완 기법과 천장관절 가동술이 기능적 하지길이에 미치는 영향" 대구대학교 대학원 2008

      20 Kaltenborn, F. M., "Orthopedic manual therapy for physical therapists Nordic system : OMT Kaltenborn-Evjenth concept" 1 (1): 47-51, 1993

      21 Vleeming, A., "Movement Stability and Lumbopelvic Pain" Elsevier 2007

      22 Gurney, B., "Leg length discrepancy" 15 (15): 195-206, 2002

      23 Hagins, M., "Intratester and intertester reliability of the palpation meter(PALM)in measuring pelvic position" 6 (6): 130-136, 1998

      24 Perry, J., "Gait analysis:normal and pathological function" 12 (12): 815-, 1992

      25 Park, S. E., "Effect of joint mobilization using KEOMT and PNF on a patient with CLBP and a lumbar transitional vertebra : a case study" 27 (27): 1629-1632, 2015

      26 Schuit, D., "Effect of heel lifts on ground reaction force patterns in subjects with structural leg-length discrepancies" 69 (69): 663-670, 1989

      27 Yoon, J. G., "Considerations in Kaltenborn-Evjenth Concept related history of orthopedic physical therapy" 7 (7): 275-284, 2000

      28 Golightly, Y. M., "Changes in pain and disability secondary to shoe lift intervention in subjects with limb length inequality and chronic low back pain : a preliminary report" 37 (37): 380-388, 2007

      29 Winter, D. A., "Biomechanics and motor control of human movement" John Wiley &Sons 2009

      30 Oh, S. G., "Biomechanical changes in lower quadrant after manipulation of low back pain patients with sacroiliac joint dysfunction" 8 (8): 893-906, 2001

      31 do Nascimento, N. I. C., "Barefoot and high-heeled gait: changes in muscles activation patterns" 6 (6): 2190-, 2014

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2022 평가예정 재인증평가 신청대상 (재인증)
      2019-01-01 평가 등재학술지 유지 (계속평가) KCI등재
      2016-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2015-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2013-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2012-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2010-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.79 0.79 0.72
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.7 0.67 0.781 0.27
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